Therapeutic phlebotomy in Santa Cruz, California

**Hereditary hemochromatosis** — the most common genetic cause of iron overload; maintenance draws reduce ferritin to target range after initial depletion therapy

**Polycythemia vera** — a myeloproliferative disorder causing elevated red cell mass; regular phlebotomy reduces hyperviscosity risk

**Secondary polycythemia** — elevated hematocrit from chronic hypoxia (sleep apnea, COPD) or other secondary causes

**Porphyria cutanea tarda** — chronic phlebotomy reduces iron stores that drive porphyrin accumulation